go back

Vermont rates for HCPCS 96913

Photochemotherapy (Goeckerman and/or PUVA) for severe photoresponsive dermatoses requiring at least 4-8 hours of care under direct supervision of the physician (includes application of medication and dressings)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $158.49 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $199.53 / $389.05
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $257.04 / $257.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $173.78 / $602.56